Active NPI
Bellamah Vein & Surgery, PLLC
- Surgery Physician
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- BELLAMAH VEIN & SURGERY, PLLC
- Practice address
- 2975 Stockyard Rd
Suite 200 & 201
Missoula, MT 59808-1557 - Phone
- (513) 509-1706
- NPI assigned
- May 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Howard Bellamah, M.D
- Title
- Owner
- Phone
- (513) 509-1706
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
2975 Stockyard Rd
Suite 200 & 201
Missoula, MT 59808-1557
Mailing address
2975 Stockyard Rd
Suite 200
Missoula, MT 59808-1557
Phone (513) 509-1706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9851 | Other | MT | MT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140923001846 | MT | Part B Supplier - Clinic/Group Practice | 9032338033 |
Receives reassigned benefits from 2 practitioners Practice locations: Kalispell, MT; Missoula, MT |
National Provider Directory
National Provider DirectoryLocations
575 Sunset Blvd
Kalispell, MT 59901
575 Sunset Blvd
Ste 104
Kalispell, MT 59901
Phone (406) 541-3200
2975 Stockyard Rd
#200
Missoula, MT 59808
Phone (406) 203-1866
2975 Stockyard Rd
Ste 200201
Missoula, MT 59808
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705536000000",
"number": "1427469725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2975 STOCKYARD RD",
"address_2": "SUITE 200",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081557",
"telephone_number": "513-509-1706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 STOCKYARD RD",
"address_2": "SUITE 200 & 201",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081557",
"telephone_number": "513-509-1706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLAMAH VEIN & SURGERY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-08",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A",
"authorized_official_last_name": "BELLAMAH",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "513-509-1706",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT LICENSE",
"identifier": "9851",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.